Organization
LAKE ERIE MEDICAL & SURGICAL SUPPLY, INC
Active
Organization
LAKE ERIE MEDICAL & SURGICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNIE MARIE SIEREN (TREASURER)
(734) 847-2710
Entity
Organization
Contact information
Practice address
7560 LEWIS AVE, TEMPERANCE, MI 48182-9539
(734) 847-3847
(419) 724-1052
Mailing address
7560 LEWIS AVE, TEMPERANCE, MI 48182-9539
(734) 847-3847
(419) 724-1052
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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